CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Presbyterian Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,182
about 1.2× the $950 Medicare rate · typically $1,048–$1,368
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,289
About the fair price
about $107 over the fair price · 1.4× Medicare
Medicare pays $950 Fair price $1,182 This hospital $1,289 Cash price $2,640 Hospital's list price $3,772

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

On the higher side — 7 of 8 other NM hospitals charge less.

Cheapest $916 Priciest $2,179

Black dot = this hospital, among the 9 NM hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $1,182 (about 1.2× the $950 Medicare rate). Presbyterian Hospital charges insurers about $1,289, or about $2,640 in cash — about the fair price. Located in Albuquerque, NM.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $4,085 430%
Blue Cross Blue Shieldmajor $957 - $1,611 101%
Aetnamajor $967 102%
Presbyterian $173 - $2,852 18%

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Facility Profile & Credentials

  • Address: 1100 Central Avenue Se, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals